EFTA00165687.pdf

DataSet-9 4 pages 1,479 words document
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Deutsche Asset & Wealth Management DBTCA Deposit Account Opening Application Private Wealth Premium"' Peva Wealth Premium 714 Private Wealth Premium TM Elite Personal Accounts Elit Business Accounts Banking Services ❑ Checking Acct. de li Checking Acgt.1 O Consumer Debit Card 0 Ila ti53 1/ 1/0 O Elite Checking with Interest O Elite Checking with Interest O Joint Applicant Debit Card I/ Acct. Acct. # APY O Business Debit Card O Elite Money Market Deposit Elite Money Market Deposit Acct. Acct. IS 5110 2 7v6 Delp Checkboox Style APY APY D=Lr t:' Gip tf O14 MAO O Certificate of Deposit O Certificate of Deposit O Name Only DLii 03 - 3 - 3 Acct Acct. # Cy Name end Address 71-;PI ; tat APY APY Csiolt.'. &us Term Term O Duplicate Statement Heezi sicio as Addr O DB AG NY Preferred O DB AG NY Preferred Certificate of Deposit Certificate of Deposit City Acct Acct. Stele Zip Code APY APY O Mailing address (4 different) Term Term Name Promo term Promo term Addr (DBTCA deposit eccaum required. (DBTCA deposit account required, along w;tn a DB AG Preferred Tenn along with a DB AG Preferred Terms City and Conditions) end Conditions) State Zip Coda Private Wealth Premlumw O Cash Mester Sweep Account Into neat Banking Services Checking Acct. a DI3Private Wealth Online Plus Elite Money Market Deposit 1o3 Er Link 'to Existing Online Relationship 0 ) 1'C° (User Co. It) Number) Acct. # APY Target Amount Trigger Amount Client Relationship ❑ Individual Account O Custody under NY UTMA O Corporation O Joint Tenants with Right D Foundation O Limited Liability Company of Survivorship O Joint Tenants In Common O Non-Profit Organization O Partnership O In Trust For/Payable on O Attorney Trust Escrow O Limited Liability Partnership Death/As Trustee for O Trust ❑ Landlord Master Escrow O Estate 13-AWM0101 NAOSOD00015602-00010#011 013959 032613 CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P. 6(e) DB-SDNY-0001429 EFTA_000 14903 EFTA00165687 mecum72,7 — and JointlefiCatia Information NName of Acopuat Tits :mint Applicant OW name, first name• m initial) or Business (last name. Mat name, middle initial) Social c.ouneoo ( ; oNuotadzr'XX l .— 14.5 D -2. tier 07 Social Security Number or Taxpayer it) Number ' Address • Dervts .tis. 03 06tn- City.Stine stud Zip Come Nome Telephone Number nese elsphone Business Telephone Number Daniel Birth • irate isrlfrrm Nemo el ell NemeolEmployw Address Address Netandlesele adV. State andLI, Cede • • • City, State and- 2flode • Notice of Customer Identification Policy Important Information To help the government fight the funding of terrorism and money laundering ectIvhies. Federal law requires all financial institutions to obtain, verify, and record information that identifies each person who establishes an account, investment or other business relationship with a financial institution. This means that we will ask for your name, address, and other information that will allow us to identify you. We may also ask to see identifying documents such es a certificate of formation or good standing (legal entities} or a passport Or other photo Identification (individuals). 3rd EU Notice Governmental rules have also broadened the scope of the Bank's obligations to aid in the fight against money laundering and terrorist financing: these rules all for an active involvement of both asset management firms and their clients. For new and existing clients we currently have a legal obligation to ask our customers questions regarding their identities, addresses, source of funds and, if necessary, legal representatives. euthcnzed signatories, beneficial owners or control structures and to collect requisite documentation to substantiate the information. Also. enhanced anti-money laundering requirements require that should any of the above personal or institutional information change, our clients would he obliged to immediately notify us of the changeisi and provide us with relevant documentation to verity these changes. Telephone, Facsimile or Email instructions By signing below. you agree that from time to time you may give Instructions by telephone. facsimile or email regarding the above captioned accounts) (defined herein as - Verbal Instructions,. ft is understood that the risk of Verbal Instructions being given by person or persons purported to be you is your own. Absent the gross negligence or willful misconduct of Deusche Bank Trust Company Americas (DBTCA). you agree to Indemnify and hold harmless DBTCA fo' any claims, losses, expenses, costs or attorneys fess resulting from OBTCA's acting upon such misunderstood and unauthorized Verbal Instructions. You understand that OBTCA may. but shall not bo required to, seek verification of yew verbal, facstnile or email instructions by call beck. In case of doubt, DBTCA may in its sole discretion refuse to execute your Verbal Instructions or any part thereof, without incurring any liability. DBTCA Is under no obligation to execute your Verbal Instructions rn transfer funds or securities to any accounts) without written instructions bearing your original signature. Joint Account Disclosure You have opened a joint account with DBTCA and acknowledge receipt of the following information: This deposit and any additions fo the account shall become the property of moon owner as joint tenants, and DBTCA may release the entire account to any owner during the lifetime of all owners. DBTCA may honor checks, orders or withdrawal requests Item any owner during the Ffetime of all owners. The Bank may he reqdfred by seMoe of legal process to remit funds held in the joint account to satisfy a judgment entered against, or other valid debt incurred by, any owner of the account. DBTCA may honor checks, orders of withdrawal requests from the survivor(s) after the death of any owner(s) and may treat the account as the sole properly of the survivors) after the death Of any owooar(S). Unions DBTCA roceivet writteo notice signed by any owner not to pay or deliver any joint deposit or addition or accrual, DBTCA shall not be liable to any owner for continuing to honor checks, nnlers or withdrawal requests fmm any owner After the receipt 0f the notice referred to In the previous sentence. DBTCA may require the written authorization of any or all joint owners for any further payments or deliveries. 2 13-mfortketet 01366903761? CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P. 6(e) DB-SDNY-0001430 EFTA_00014904 EFTA00165688 ATM/Debit Service You agree that the retentior. or use of the ATM/Debit card constitutes acceptance of the terms and r.ond,tioes of the Cardholder Agreement contained in the Terms and Conditions of Deposit Accounts. Internet Banking Service It you have selected to receive Internet Banking Services, you understand that you will be required to enter into a separate Internet Bahking Services Agreement with DBTCA before you can access the Internet Banking Service. Acknowledgement of Receipt of Privacy Notice By signing below, you acknowledge receipt of DEITCA's Privacy Notice included in the Application Package. Non-US Individuals: Confirmation of Tax and Compliance Responsibilities. You confirm that it is your responsibility to fulfill any tax obligations and any ether regulatory reporting duties applicable to you in any relevant jurisdictions that may arise in connection with assets, income or transactions In your accountIN and your business relationship with DBTCA. Non-US Organizations: Confirmation of Tax and Compliance Responsibilities. You confirm that it is your responsibility to fulfill any tax obligations and any other regulatory repotting duties applicable to it in any relevant jurisdictions that may arise in connection with assets. income or transactions In your account(s) and you business relationship with DBTCA furthermore. you confirm that the necessary information Ito the best of your knowledge end capabilities) is made available no loss than annually to the relevant beneficial owner's), senlorisk benoficiaryjies), partnerls). etc to enable him/her/ them to fulfill any respective tax obligations that may arise for him/her/ them In connection with your business relationship with DBTCA. Please complete and attach separate W-8 or W-9 documentation as applicable. Terms and Conditions and Representations By signing below, you acknowledge receipt of the Terms and Conditions for Deposit Accounts attached to this Application and agree to be bound by them. In addition, you agree to notify us immediately of any material change to the information provided by you on this Application. You represent and warrant that all of the information provided by you on this Application is accurate. The Terms and Conditions for Deposit Accounts are subjec to change. Acceptancto,- --- You understand that this agp OBTCA ht Holder's Signature ate Joni Account Holder's Signature Data Att,w)141 cur is rq *iyik; ,th wt • .1(• ,•••••744 PIO? ef': c1 .pk,Vilegus 134W/443101 0'3059 032613 CONFIDENTIAL — PURSUANT TO FED. R. CRIM. P. 6(e) DB-SDNY-0001431 EFTA_00014905 EFTA00165689 IN WITNESS WHEREOF. the undersigned, by and through its authorized officer, has caused this instrument to be executed on the date listed below. (FOR BUSINESS USERS) /4 p Business Name 0 t lotDi hie 9 EIEU n_ ISM MUST COMPANY AMERICAS --4.---- BY Pent N [FOR ALL OTHER USERS) Account Nn alernenide Signature MAIMS? 21 0101981.30113 CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P. 6(e) DB-SDNY-0001432 EFTA_00014906 EFTA00165690
ℹ️ Document Details
SHA-256
5292792ac8bedb321819ea1fbf635ad87a99d3e4d64d8e4aac943ed47e21b16b
Bates Number
EFTA00165687
Dataset
DataSet-9
Type
document
Pages
4

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